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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2� 7 ) 23 — 613 Phone Contact for Permitting 2� r <br /> !at![[![ t![![ <br /> JB=eachOwner's NameRealty Group LLC Owner Phone Number <br /> Owner's Address 14007 Merrick Rd,Ste 5,Seaford, NY 11783 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 38544 5th Ave,Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-16900-0080 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Fuel dispenser replacement <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> BUILDING $2,000 VALUATION OF TOTAL CONSTRUCTION �1 <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. v <br /> =PLUMBING $ j� l LATIfIN� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTAL ` � Op r f \ <br /> l.. <br /> =GAS = ROOFING Q SPECIALTY = OTHER GO <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER --_COMPANY AEC Services Inc <br /> SIGNATURE `!.�/' y� T- -- f REGISTERED Y/N FEE CURREN Y/N <br /> Address­'-"]_1 616 Allison Woods Lane,Tampa, FL 33619 License# I PCCO56811 <br /> ELECTRICIAN ; 1 g_ COMPANY AEC Services Inc <br /> SIGNATURE W &n �:] REGISTERED Y/N FEE CURREN I Y/N <br /> Address 1616 Allison Woods Lane,Tampa, FL 33619 License# I EC13009380 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> !!aN"it[!![!!1":![[[.[!1.lfil,#!i.[l!!!!.[!![!.!!!![!!:!!!![!.[!!!!!!!!-t!!!!t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Drrectrons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drive ays-Not over Counter if on public roadways..needs ROW <br />